Shalom Destiny Nursing Consultant and Training Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC

Practice address

300 Ringgold Industrial Pkwy
Danville, VA 24540-5548

Phone

(434) 483-4351

NPI assigned

Jan 28, 2022

Organization subpart

Yes

Parent organization

SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicola C. Barksdale, RNNPI 1568115756

Title

Laboratory Director

Phone

(434) 483-4351

Specialties & licenses 1

Addresses

Other names 2

• Shalom Destiny Diagnostic Lab Doing business as
• Shalom Destiny Nursing Consultant And Training Services LLC Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Shalom Destiny Nursing Consultant and Training Services LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicola C. Barksdale

  • Administrator Registered Nurse
  • Danville, VA
  • NPI 1568115756
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1356094551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RINGGOLD INDUSTRIAL PKWY STE 124",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405548",
            "telephone_number": "434-483-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RINGGOLD INDUSTRIAL PKWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405548",
            "telephone_number": "434-483-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BARKSDALE",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "434-483-4351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Destiny Diagnostic Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Destiny Diagnostic Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Destiny Nursing Consultant And Training Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Serene Home Health Services LLC
• Rachel Setliff
• Paul Cox Settle, MD
• Kimberly Seymour
• Pratik Dilip Shah, DO
• Yousr Shaltout, MD
• Dominique Shamberger, LCSW
• Maria Shamsi, MD
• Sharon Y Johnson & Associates
• Caron D. Sharp, RD.

• Clinic/Center in Danville, VA
• Providers in Danville, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.